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EDGAR ONTIVEROS
Peer Specialist
NPI: 1891517124Individual
Specialties, Licenses & Credentials
Peer SpecialistPrimary
Peer Specialist
Code: 175T00000X
MPSS-WEYLRB(CA)
Contact & Hours
- Address
- 14096 LAKESHORE DR
CLEARLAKE, CA 95422 - Phone
- (707) 994-4261
Quick Facts
- NPI
- 1891517124
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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